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General NPI Number Information
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NPI Number | 1366301400
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Entity Type | Organization
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Legal Business Name | PLAY GROW SHINE LLC
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 45 STERLING ST STE 23
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City | WEST BOYLSTON
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State | MA
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Zip | 01583-1268
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Country | US
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Telephone | 508-614-9332
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Fax |
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Provider Business Mailing Address
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Address Line | 45 STERLING ST STE 23
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City | WEST BOYLSTON
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State | MA
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Zip | 01583-1268
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ OT
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Name | JESSICA DOWD
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Credential |
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Telephone | 508-688-7081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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